FY 2001 MILITARY CONSTRUCTION, DEFENSE-WIDE ($ in Thousands)

New/ Authorization Approp. Current Page State/Agency/Installation/Project Request Request Mission No.

Alaska Tricare Management Activity Fort Wainwright Hospital Replacement (Phase II) 0 44,000 C 8

California Tricare Management Activity Camp Pendleton MC Base FHOTC Support Facilities 2,900 2,900 C 12 Medical/Dental Clinic Repl (Horno) 3,950 3,950 C 15 Medical/Dental Clinic Repl (Las Flores) 3,550 3,550 C 18 Medical/Dental Clinic Repl (Las Pulgas) 3,750 3,750 C 21

Edwards Air Force Base Medical Clinic Addn/Dental Clinic Alt 17,900 17,900 C 24

Florida Tricare Management Activity Eglin Air Force Base Hospital Addition/Alteration/LSU 37,600 37,600 C 28

Patrick Air Force Base Medical Clinic 2,700 2,700 C 32

Tyndall Air Force Base Medical Clinic Addition/Alteration 7,700 7,700 C 36

New York Tricare Management Activity Fort Drum Veterinary Treatment Facility 1,400 1,400 C 40

Total Inside the United States 81,450 125,450

Germany Tricare Management Activity Kitzingen Health/Dental Clinic Life Safety Upgrade 1,400 1,400 C 45

Wiesbaden Health/Dental Clinic Addition/Alteration 7,187 7,187 C 48 FY 2001 MILITARY CONSTRUCTION, DEFENSE-WIDE ($ in Thousands)

New/ Authorization Approp. Current Page State/Agency/Installation/Project Request Request Mission No.

Italy Tricare Management Activity Naples Medical/Dental Facility Replacement 43,850 43,850 C 51

Total Outside the United States 52,437 52,437

Total 133,887 177,887 1. COMPONENT FY 2001 MILITARY CONSTRUCTION PROGRAM 2. DATE DEF (TMA) FEBRUARY 2000 3. INSTALLATION AND LOCATION 4. COMMAND 5. AREA CONSTRUCTION Fort Wainwright COST INDEX US Army Pacific Alaska 1.71

6. PERSONNEL STRENGTH: PERMANENT STUDENTS SUPPORTED OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. AS OF 30 SEP 1999 558 4305 677 0 0 0 9 63 995 6,307 B. END FY 2005 558 4305 676 0 0 0 9 63 995 6,306

7. INVENTORY DATA ($000) A. TOTAL AREA 265,572 ha B. INVENTORY TOTAL AS OF 30 SEPTEMBER 1999 509,175 C. AUTHORIZATION NOT YET IN INVENTORY 18,000 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 44,000 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 38,000 F. PLANNED IN NEXT THREE YEARS 33,000 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 642,175 8. PROJECTS REQUESTED IN THIS PROGRAM:

CATEGORY PROJECT PROJECT TITLE COST DESIGN STATUS CODE NUMBER ($000) START COMPLETE 510 51641 Hospital Replacement (Phase II) 44,000 09/1997 05/2000

TOTAL 44,000 9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2002) NONE 510 Hospital Replacement PH III 38,000

TOTAL 38,000 B. PLANNED NEXT THREE YEARS: NONE 510 Hospital Replacement PH IV 23,000 510 Hospital Replacement PH V 10,000

TOTAL 33,000 10. MISSION OR MAJOR FUNCTION:

The mission is the defense of Alaska, including the initial defense of the Aleutian Islands.

11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: ($000) A. AIR POLLUTION 0 B. WATER POLLUTION 0 C. OCCUPATIONAL SAFETY AND HEALTH 0

RPM Backlog: There are no service estimated costs associated with deficiencies in medical facilities at this installation.

Director DMFO: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY UNTIL EXHAUSTED PAGE NO. DD 1 Dec 76 1390 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Fort Wainwright Hospital Replacement (Phase II) Alaska 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 510 51641 Auth 0 Appr 44,000 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 33,520 Hospital Replacement (Phase II) LS -- -- (33,520) SUPPORTING FACILITIES 7,795 Supporting Facilities LS -- -- (7,795)

ESTIMATED CONTRACT COST 41,315 CONTINGENCY PERCENT (0.00%) 0 SUBTOTAL 41,315 SUPERVISION, INSPECTION & OVERHEAD (6.50%) 2,685 CATEGORY E EQUIPMENT (0) TOTAL REQUEST 44,000 TOTAL REQUEST (ROUNDED) 44,000 INSTALLED EQT-OTHER APPROPRIATIONS (0) 10. Description of Proposed Construction: This project is the second phase (main structures) of construction of the new 32-bed hospital at Fort Wainwright to replace the current Bassett Army Community Hospital built in 1951. The total project will provide an energy efficient building of reinforced concrete foundation and floor slab, structural steel frame and all utility, communication, security and fire protection systems. The project will provide health care facilities for internal medicine, general surgery, ENT, orthopedics, obstetrics and gynecology, pediatrics and family practice. The project will be designed in accordance with criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Operation and maintenance manuals will be provided. Air Conditioning: 2,950 KW.

11. REQ: 24,109 m2 ADQT: NONE SUBSTD: 14,427 m2

PROJECT: Construct a replacement for the existing Bassett Army Community Hospital. (CURRENT MISSION)

REQUIREMENT: This project is required to provide a facility designed to support current health care practices for the military, dependent, and retiree population of Forts Wainwright and Greely, and remote military sites north of the Alaska Range. The service area is approximately 46,400 square miles. The increased emphasis upon outpatient care, work measurement standards, and the increased use of automation equipment (both clinical and administrative) requires a facility designed to efficiently support these functions. Bassett ACH also provides hospital and specialty services to Eielson AFB, some 20 miles distant, with an active duty population of 3,400 airmen.

CURRENT SITUATION: Bassett Army Community Hospital was constructed in 1951 as a 300-bed facility, and still has the original steam radiator heating system, plumbing system, and electrical wiring system. The practice of health care has changed significantly since the building was constructed, with emphasis shifting from inpatient care to ambulatory care. Outpatient care is being performed in areas designed for inpatient care. The existing electrical system cannot support the expanding use of state-of-the-art electronic medical and laboratory equipment. The steam and water lines are corroded and have exceeded their life expectancy. There is asbestos material in the existing pipe insulation, counter tops, and floor tile. The in-line medical air system is currently constructed of galvanized steel piping, which violates code for such construction. The cost of repair of this system is prohibitive due to the presence of asbestos.

DD Form 1391 1 Dec 76 PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Fort Wainwright Hospital Replacement (Phase II) Alaska 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 510 51641 Auth 0 Appr 44,000 CURRENT SITUATION (CONTINUED): This system has been placed out of service. Outside temperatures range from -70 degrees F in winter to 95 degrees F in summer. Daylight hours range from three hours in winter to over twenty-two hours in summer. The climatic extremes make the internal building environment miserable for patients and staff.

IMPACT IF NOT PROVIDED: Failure to provide this project will continue to impede mission accomplishment. Staff and patient safety and comfort will continue to be compromised by lack of modern utility systems and adequate life safety provisions. 12. Supplemental Data: A. Estimated Design Data: (1) Status: month & year (a) Design Start Date SEP 1997 (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 100 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 100 (d) Concept Complete Date JUN 1999 (e) Design Complete Date JAN 2000 (f) Type of Design Contract: 1. Design Build (YES/NO) NO 2. Design-Bid-Build (YES/NO) YES 3. Site Adapt (YES/NO) NO

(2) Basis: (a) Standard or Definitive Design - (YES/NO) N (b) Where Design Was Most Recently Used

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 6,181 (b) All Other Design Costs 8,068 (c) Total Design Cost 14,249 (d) Contract 11,650 (e) In-house 2,599

month & year (4)Design Contract Award SEP 1997 (5) Construction Start JAN 2001 (6) Construction Completion JUN 2005

B. Equipment associated with this project which will be provided from other appropriations:

Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

Medical Equipment OMA 2003 $16,750

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970 Form DD 1 Dec 76 1391C PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. UNTIL EXHAUSTED 1. COMPONENT FY 2001 MILITARY CONSTRUCTION PROGRAM 2. DATE DEF (TMA) FEBRAURY 2000 3. INSTALLATION AND LOCATION 4. COMMAND 5. AREA CONSTRUCTION COST INDEX Camp Pendleton Bureau of Medicine and Surgery California 1.14

6. PERSONNEL STRENGTH: PERMANENT STUDENTS SUPPORTED OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. AS OF 30 SEP 1999 286 1,066 1,542 69 5477 0 2,213 29,019 3,908 43,580 B. END FY 2005 162 1,090 1,566 147 6678 0 2,481 30,467 3,867 46,458

7. INVENTORY DATA ($000) A. TOTAL AREA 186,061 Acres

B. INVENTORY TOTAL AS OF 30 SEPTEMBER 1999 1,018 C. AUTHORIZATION NOT YET IN INVENTORY 0 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 14,150 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 0 F. PLANNED IN NEXT THREE YEARS 3,300 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 18,468 8. PROJECTS REQUESTED IN THIS PROGRAM: CATEGORY PROJECT PROJECT TITLE COST DESIGN STATUS CODE NUMBER ($000) START COMPLETE 510 48981 FHOTC Support Facilities 2,900 04/1999 07/2000 550 25940 Medical/Dental Clinic Replacement (Horno) 3,950 Site Adapt 01/2001 550 25943 Medical/Dental Clinic Replacement (Las Flores) 3,550 Site Adapt 01/2001 550 25941 Medical/Dental Clinic Replacement (Las Pulgas) 3,750 Site Adapt 01/2001 TOTAL 14,150 9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2002): NONE

B. PLANNED NEXT THREE PROGRAM YEARS: Hospital LDRP Conversion 3,300 TOTAL 3,300 10. MISSION OR MAJOR FUNCTION: Provide housing, training facilities, logistical support, and certain administrative support for Fleet Marine Force units and other units assigned. Conduct specialized schools and other training as directed. Organize and train replacement units for deployment overseas as directed. Provide logistical support for other Marine Corps activities as directed.

11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: ($000) A. AIR POLLUTION 0 B. WATER POLLUTION 0 C. OCCUPATIONAL SAFETY AND HEALTH 0

RPM Backlog: There are no service estimated costs associated with deficiencies in medical facilities at this installation.

Director DMFO: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form DD 1390 PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Camp Pendleton MC Base FHOTC Support Facilities California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) Auth 2,900 87717D 510 48981 Appr 2,900 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 2,286 FHOTC Support Facilities m2 1,400 1,606 (2,248) Building Information Systems LS -- -- (38) SUPPORTING FACILITIES 450 Electric Service LS -- -- (105) Water, Sewer, Gas LS -- -- (84) Paving, Walks, Curbs and Gutters LS -- -- (75) Storm Drainage LS -- -- (42) Site Imp ( 111) Demo ( ) LS -- -- (75) Information Systems LS -- -- (38) Other LS -- -- (31) ESTIMATED CONTRACT COST 2,736 CONTINGENCY PERCENT (0.00 %) 0 SUBTOTAL 2,736 SUPERVISION, INSPECTION & OVERHEAD (6.00 %) 164 CATEGORY E EQUIPMENT (0) TOTAL REQUEST 2,900 TOTAL REQUEST (ROUNDED) 2,900 INSTALLED EQT-OTHER APPROPRIATIONS (0) 10. Description of Proposed Construction: Construct a permanent facility of concrete masonry, concrete slab, and foundation with steel frame and associated support facilities. A video-teleconferencing system will be provided. This project will be designed within criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/ Americans with Disabilities Act Accessibility Guidelines. Operation and maintenance manuals will be provided. Air conditioning: 70 KW. 11. REQ: 1,400 m2 ADQT: NONE SUBSTD: 1,486 m2

PROJECT: Provide permanent administrative spaces, computer classroom, conference room, toilet facilities, and properly configured readiness training facilities for Fleet Hospital Operations and Training Command (FHOTC). (CURRENT MISSION)

REQUIREMENT This project is required to facilitate the expanded mission of the Fleet Hospital Operations and Training Command (FHOTC) and to provide permanent facilities with which to carry out current and expanded functions. Long distance learning using on-site video teleconferencing training (VTT) will be accommodated. This project provides a cohesive, integrated environment for conducting administrative and training functions of the FHOTC and is designed to improve training effectiveness and administrative efficiency.

CURRENT SITUATION: The FHOTC is presently situated on a 23-acre compound comprised of temporary facilities, General Purpose Medium Tentage, International Standard Organization (ISO) containers, Fleet Hospital tentage, and two World War II-era SEAHUTS. The staff of FHOTC is housed in four temporary metal buildings constructed by the SEABEEs in 1986. In addition, a Supply Office was retrofitted into an existing supply warehouse. The current buildings cover a minimal portion of the entire command and are inadequate in terms of accommodating all required FHOTC staff members. Due to the lack of an integrated structure, staff

Form DD 1391 PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Camp Pendleton MC Base FHOTC Support Facilities California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 510 48981 Auth 2,900 Appr 2,900 CURRENT SITUATION: (Continued). members must at the present time leave their buildings to access separately located toilet and restroom facilities. This substandard situation is aggravated during periods of inclement weather. Also, these buildings have temporary HVAC systems which are extremely difficult to regulate and balance with part of a building remaining cool while the remainder is hot. An example of inefficient space configuration is demonstrated by the quarters for the Fleet Hospital Operations and Training Command (FHOTC) teaching presentation automated production system which is currently housed in an ISO container. The system consists of expensive and highly pilferable equipment which is utilized to create multimedia presentations used by training staff for off-location, exportable training and on-site training as well. Although the ISO container has served acceptably, it does not provide an optimal environment for equipment and staff. Improved operational effectiveness demands a secure, climate-controlled environment which is located adjacent to the primary system user - the Academics Department. The current lack of adjacency forces system operators in the Academics area to leave their offices and walk out to the ISO container in order to access the system to make adjustments and correct errors. This last example is illustrative of the fact that at present, FHOTC administrative functions tasked with delivering support services for both command and training operations are located in eight separate facilities, which range in distance from 50 to 300 feet apart. Mission effectiveness is impeded by required staff movement between these various buildings to coordinate functions and activities. The major focus of this project is to consolidate both administrative and training facilities in order to optimize operational effectiveness, incorporate state-of-the-art methodologies, improved staff productivity and asset security to meet the assigned mission.

IMPACT IF NOT PROVIDED: Existing temporary facilities cannot properly accommodate FHTOC support functions in the training and administrative areas due to rapid escalation in the complexity and coordination activities performed by these functions to meet operational mission requirements. Failure to consolidate administrative and training departments will serve to indefinitely postpone the type of cohesive and highly efficient organization made possible by configuring space for all work units within a single integrated structure.

ADDITIONAL: The English square foot equivalent for this construction project is 15,069 SF.

12. Supplemental Data:

A. Estimated Design Data: (1) Status: month & year (a) Design Start Date APR 1999 (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 65 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 100 (d) Concept Complete Date AUG 1999 (e) Design Complete Date JUL 2000 (f) Type of Design Contract: 1. Design Build (YES/NO) NO 2. Design-Bid-Build (YES/NO) YES 3. Site Adapt (YES/NO) NO

Supplement Data: (CONTINUED)

A. Estimated Design Data:

(2) Basis: (a) Standard or Definitive Design - (YES/NO) N (b) Where Design Was Most Recently Used:

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 122 (b) All Other Design Costs 108 (c) Total Design Cost 230 (d) Contract 190 (e) In-house 40

month & year (4) Design Contract Award APR 1999 (5) Construction Start FEB 2001 (6) Construction Completion FEB 2002

B. Equipment associated with this project which will be provided from other appropriations:

Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

NONE

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

DD Form 1391C PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Camp Pendleton MC Base Medical/Dental Clinic Replacement (Horno) California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) Auth 3,950 87717D 550 25940 Appr 3,950 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 2,515 Medical/Dental Clinic m2 1,146 2,117.8 (2,427) Ambulance Shelter m2 31 1,129.0 (35) Building Information Systems LS -- -- (53) SUPPORTING FACILITIES 928 Electric Service LS -- -- (79) Water, Sewer, Gas LS -- -- (76) Paving, Walks, Curbs And Gutters LS -- -- (88) Storm Drainage LS -- -- (28) Site Imp( 38 ) Demo( 554 ) LS -- -- (592) Information Systems LS -- -- (6) Other LS -- -- (59) ESTIMATED CONTRACT COST 3,443 CONTINGENCY PERCENT (0.00 %) 0 SUBTOTAL 3,443 SUPERVISION, INSPECTION & OVERHEAD (6.00 %) 207 CATEGORY E EQUIPMENT 300 TOTAL REQUEST 3,950 TOTAL REQUEST (ROUNDED) 3,950 INSTALLED EQT-OTHER APPROPRIATIONS (0) 10. Description of Proposed Construction: Construct a medical/dental clinic of reinforced concrete foundation and floor slab with structural steel frame, masonry walls, and standing seam metal roof. The primary facilities include primary care office/examination workstations, pharmacy, radiology, clinical laboratory, dental operatories, dental x-ray, administrative and support services. Supporting facilities include utilities and site improvements. This project will be designed within the criteria prescribed by MIL-HDBK 1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Accessibility Act Guidelines (ADAAG). Operations and maintenance manuals will be provided. Demolish six buildings in the envelope of required construction and relocate some sewer lines. Air conditioning: 130KW. 11. REQ: 1,146 m2 ADQT: NONE SUBSTD: 1,004 m2

PROJECT: Construct a medical/dental clinic. (CURRENT MISSION)

REQUIREMENT: Construct adequate facilities to house the operational medical/dental clinic in support of four battalions in the 1st Marine Division, as well as supporting staff of the Regimental Headquarters Company.

CURRENT SITUATION: The medical clinic is currently located in a one-story "T" shaped concrete structure of approximately 604 m2 and the dental clinic is located in a one-story rectangular concrete building of approximately 400 m2. Both of these buildings were built in 1953. The functionality of these facilities for health care operations is restricted by the very narrow width of each wing of the building. One wing of the "T" building is approximately 25 feet wide and the rectangular building is about the same width. The medical building lacks adequate office, exam, and clinical support spaces.

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. .DD 1391 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Camp Pendleton MC Base Horno Medical/Dental Clinic Replacement (Horno) California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 25940 Auth 3,950 Appr 3,950 CURRENT SITUATION: (CONTINUED) The workflow mix of patients, staff, and visitor traffic throughout the building is not efficient. Patient privacy is less than adequate due to the building and exam room layouts. The dental clinic is not in compliance with DoD space planning criteria in regard to size and Dental Treatment room layout. Neither of these buildings comply with handicapped accessibility requirements. Both buildings are dysfunctional for medical use and have major mechanical and plumbing problems. Upon completion of this project, existing buildings will be demolished.

IMPACT IF NOT PROVIDED: Medical and dental care will continue to be delivered in substandard, functionally inadequate facilities. Failure to address needed facility modernization will severely inhibit the staff's ability to provide adequate patient access to quality health care.

ADDITIONAL: This project will site-adapt the design used previously for Margarita and San Mateo. The English square foot equivalent for this construction project is 12,669 SF.

13. Supplemental Data: A. Estimated Design Data: (1) Status: month & year (a) Design Start Date Site Adapt (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 50 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 75 (d) Concept Complete Date AUG 1997 (e) Design Complete Date JAN 2001 (f) Type of Design Contract: 1. Design Build (YES/NO) NO 2. Design-Bid-Build (YES/NO) NO 3. Site Adapt (YES/NO) YES

(2) Basis: (a) Standard or Definitive Design - (YES/NO) YES (b) Where Design Was Most Recently Used: San Mateo and Margarita, Camp Pendleton, CA

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 100 (b) All Other Design Costs 50 (c) Total Design Cost 150 (d) Contract 125 (e) In-house 25

month & year (4) Design Contract Award (San Mateo and Margarita Design Contract Award) JAN 1997 (5) Construction Start JUN 2001 (6) Construction Completion DEC 2002

12. Supplemental Data: (Continued)

B. Equipment associated with this project which will be provided from other appropriations: Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

Collateral Equipment OMN 2001 $ 665

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. DD 1 Dec 76 1391 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Camp Pendleton MC Base Medical/Dental Clinic Replacement (Las Flores) California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) Auth 3,550 87717D 550 25943 Appr 3,550 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 2,549 Medical Dental Clinic m2 1,146 2,147 (2,460) Ambulance Shelter m2 31 1,167 (36) Building Information Systems LS -- -- (53) SUPPORTING FACILITIES 540 Electric Service LS -- -- (110) Water, Sewer, Gas LS -- -- (80) Paving, Walks, Curbs And Gutters LS -- -- (110) Storm Drainage LS -- -- (10) Site Imp( 35 ) Demo( 125) LS -- -- (160) Information System LS -- -- (10) Other LS -- -- (60) ESTIMATED CONTRACT COST 3,089 CONTINGENCY PERCENT (0.00 %) 0 SUBTOTAL 3,089 SUPERVISION, INSPECTION & OVERHEAD (6.00 %) 185 CATEGORY E EQUIPMENT 300 TOTAL REQUEST 3,574 TOTAL REQUEST (ROUNDED) 3,550 INSTALLED EQT-OTHER APPROPRIATIONS (0) 10. Description of Proposed Construction: Construct a medical/dental clinic of reinforced concrete foundation and floor slab with structural steel frame, masonry walls, and standing seam metal roof. The primary facilities include primary care office/examination workstations, pharmacy, radiology, clinical laboratory, dental operatories, dental x-ray, administrative and support services. Supporting facilities include utilities and site improvements. This project will be designed within the criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Operations and maintenance manuals will be provided. Demolish one structure on the site and relocate some sewer lines. Air conditioning: 130 KW.

11. REQ: 1,146 m2 ADQT: NONE SUBSTD: 626 m2

PROJECT: Construct a new medical/dental clinic. (CURRENT MISSION)

REQUIREMENT Construct adequate facilities to house the operational medical/dental clinic which supports the 1st Light Amphibious Reconnaissance Battalion (LAR).

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. UNTIL EXHAUSTED DD 1 Dec 76 1391 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Camp Pendleton MC Base Medical/Dental Clinic Replacement (Las Flores) California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) Auth 3,550 87717D 550 25943 Appr 3,550 CURRENT SITUATION: The medical and dental clinic is currently located in a one-story "T-shaped" structure approximately 626 m2 in size. The original building of 573 m2 was built in 1966 and received a small addition in 1992. The building lacks adequately sized and configured offices, exam rooms, ancillary and other support spaces as required by DoD space planning criteria. Due to the constricted building layout, there are inherent inefficiencies in terms of patient accessibility, privacy, and staff effectiveness. In addition, the structure does not meet handicapped accessibility requirements. The entire building is currently rated substandard due to dysfunctionality for medical use and major mechanical and plumbing problems. Upon completion of this project, the existing building will be demolished.

IMPACT IF NOT PROVIDED: Medical and dental care will continue to be delivered in inadequate, space deficient facilities. Failure to address needed facility modernization will continue to severely inhibit adequate patient access to appropriate and efficiently delivered health care services.

ADDITIONAL: This project will site-adapt the design used previously for Margarita and San Mateo. The English square foot equivalent for this construction project is 12,669 SF. 14. Supplemental Data:

A. Estimated Design Data:

(1) Status: month & year (a) Design Start Date Site Adapt (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 50 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 75 (d) Concept Complete Date AUG 1997 (e) Design Complete Date JAN 2001 (f) Type of Design Contract: 1. Design Build (YES/NO) NO 2. Design-Bid-Build (YES/NO) NO 3. Site Adapt (YES/NO) YES

(2) Basis: (a) Standard or Definitive Design - (YES/NO) YES (b) Where Design Was Most Recently Used: San Mateo and Margarita, Camp Pendleton, CA

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 100 (b) All Other Design Costs 50 (c) Total Design Cost 150 (d) Contract 125 (e) In-house 25

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY DD 1391C PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Camp Pendleton MC Base Medical/Dental Clinic Replacement (Las Flores) California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) Auth 3,750 87717D 550 25943 Appr 3,750

12. Supplemental Data: (CONTINUED)

A. Estimated Design Data: (CONTINUED)

month & year (4) Design Contract Award (San Mateo and Margarita Design Contract Award) JAN 1997 (5) Construction Start JUN 2001 (6) Construction Completion DEC 2002

B. Equipment associated with this project which will be provided from other appropriations: Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

Collateral Equipment OMN 2001 $ 650

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. DD 1 Dec 76 1391C UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Camp Pendleton MC Base Medical/Dental Clinic Replacement (Las Pulgas) California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) Auth 3,750 87717D 550 25941 Appr 3,750 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 2,496 Medical/Dental Clinic m2 1,146 2,102 (2,409) Ambulance Shelter m2 31 1,129 (35) Building Information Systems LS -- -- (52) SUPPORTING FACILITIES 759 Electric Service LS -- -- (121) Water, Sewer, Gas LS -- -- (84) Paving, Walks, Curbs And Gutters LS -- -- (92) Storm Drainage LS -- -- (27) Site Imp( 105 ) Demo( 271) LS -- -- (368) Information System LS -- -- (8) Other LS -- -- (59) ESTIMATED CONTRACT COST 3,255 CONTINGENCY PERCENT (0.00%) 0 SUBTOTAL 3,255 SUPERVISION, INSPECTION & OVERHEAD (6.00%) 195 CATEGORY E EQUIPMENT 300 TOTAL REQUEST 3,750 TOTAL REQUEST (ROUNDED) 3,750 INSTALLED EQT-OTHER APPROPRIATIONS (0) 10. Description of Proposed Construction: Construct a medical/dental clinic of reinforced concrete foundation and floor slab with structural steel frame, masonry walls, and standing seam metal roof. The primary facilities include primary care office/examination workstations, pharmacy, radiographic room, clinical laboratory, dental operatories, dental x-ray, administrative and support services. Supporting facilities include utilities and site improvements. This project will be designed within the criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disability Act Accessibility Guidelines. Three buildings will be demolished and some utilities will be relocated. Operations and maintenance manuals will be provided. Air conditioning: 130 KW. 11. REQ: 1,146 m2 ADQT: NONE SUBSTD: 1014 m2

PROJECT: Construct a new Medical/Dental Clinic. (CURRENT MISSION)

REQUIREMENT Construct adequate facilities to house the operational medical/dental clinic in support of the Marine Corps’ 11th Marine Regiment, 1st FSSG, 1st Maintenance Battalion and AMMO company.

CURRENT SITUATION: The current medical clinic is located in a one-story "T-shaped" concrete building of approximately 612 m2 and the current dental clinic is located in a one-story, rectangular concrete building of 402 m2. Both of these buildings were built in 1953. Functional layouts of both buildings are significantly restricted due to the narrow width in the wings of the "T-shaped" building and the narrow aspect of the rectangular Dental Clinic building. One wing of the current Medical Clinic is only 25 feet in width and the existing Dental Clinic is similarly narrow. The buildings lack adequate office, exam, and clinical support spaces as required by DoD space planning criteria. The restrictive layout provides inefficient and inappropriate workflow mix in terms of patient, staff, and visitors. This lack of functionality has a significant impact upon patient and

IMPACT IF NOT PROVIDED: Medical and dental care will continue to be delivered in substandard, functionally inadequate facilities. Failure to address the need for completely modern facilities will continue to inhibit the ability the staff to provide patient access to quality health care.

ADDITIONAL: This project will site-adapt the design used previously for Margarita and San Mateo. The English square foot equivalent for this construction project is : 12,669 SF

12. Supplemental Data: A. Estimated Design Data:

(2) Basis: (a) Standard or Definitive Design - (YES/NO) YES (b) Where Design Was Most Recently Used: San Mateo and Margarita, Camp Pendleton, CA

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 100 (b) All Other Design Costs 50 (c) Total Design Cost 150 (d) Contract 125 (e) In-house 25

12. Supplemental Data: (CONTINUED)

A: Estimated Design Data: (CONTINUED)

month & year (4) Design Contract Award (San Mateo and Margarita Design Contract Award) JAN 1997 (5) Construction Start JUN 2001 (6) Construction Completion DEC 2002

B. Equipment associated with this project which will be provided from other appropriations: Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

Collateral Equipment OMN 2001 $ 598

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form DD 1391 PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. COMPONENT FY 2001 MILITARY CONSTRUCTION PROGRAM 2. DATE DEF (TMA) FEBRUARY 2000 3. INSTALLATION AND LOCATION 4. COMMAND 5. AREA CONSTRUCTION COST INDEX Edwards Air Force Base Air Force Material Command California 1.19

6. PERSONNEL STRENGTH: PERMANENT STUDENTS SUPPORTED OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. AS OF 30 SEP 1999 607 3019 2938 0 0 0 242 390 749 7,945 B. END FY 2005 612 2762 2750 0 0 0 242 390 749 7,505

7. INVENTORY DATA ($000) A. TOTAL AREA 300,723 acres B. INVENTORY TOTAL AS OF 30 SEPTEMBER 1999 42,005 C. AUTHORIZATION NOT YET IN INVENTORY 6,000 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 17,900 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 0 F. PLANNED IN NEXT THREE YEARS 0 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 65,905 8. PROJECTS REQUESTED IN THIS PROGRAM:

CATEGORY PROJECT PROJECT TITLE COST DESIGN STATUS CODE NUMBER ($000) START COMPLETE 550 25669 Medical Clinic Addn/Dental Clinic Alt 17,900 12/1998 02/2001

TOTAL 17,900 9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2002) : NONE

B. PLANNED NEXT THREE PROGRAM YEARS: NONE

10. MISSION OR MAJOR FUNCTION: Air Force Flight Test Center for Research and Development which is responsible for flight test activities for all USAF aircraft and related avionics, flight control, and weapons systems; a test wing; an air base wing; Air Force Test Pilot School; a Propulsion Directorate of Air Force Research Laboratory; and a landing site for the space shuttle.

11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: ($000) A. AIR POLLUTION 3,500 B. WATER POLLUTION 600 C. OCCUPATIONAL SAFETY AND HEALTH 0

RPM Backlog: The service estimated cost to remedy the deficiencies in all existing permanent and semi-permanent medical facilities at this installation is $ 1,721,000.

Director DMFO: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. DD 1 Dec 76 1390 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Edwards Air Force Base Medical Clinic Addition/Dental Clinic Alt California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 25669 Auth 17,900 Appr 17,900 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 11,996 Medical Clinic m2 4,358 2,470.85 (10,768) Dental Clinic Alteration m2 503 1,057.65 (532) Ambulance Shelter m2 105 904.76 (95) Building Information Systems LS -- -- (601)

SUPPORTING FACILITIES 4,325 Electric Service LS -- -- (808) Water, Sewer, Gas LS -- -- (235) Paving, Walks, Curbs And Gutters LS -- -- (825) Storm Drainage LS -- -- (140) Site Imp( 799) Demo( 1,333) LS -- -- (2,132) Information Systems LS -- -- (105) Other LS -- -- (80)

ESTIMATED CONTRACT COST 16,321 CONTINGENCY PERCENT (0.00%) 0 SUBTOTAL 16,321 SUPERVISION, INSPECTION & OVERHEAD (6.00%) 979 CATEGORY E EQUIPMENT 600 TOTAL REQUEST 17,900 TOTAL REQUEST (ROUNDED) 17,900 INSTALLED EQT-OTHER APPROPRIATIONS (1,500)

10. Description of Proposed Construction: Construct a medical clinic addition with a reinforced concrete foundation and floor slab with building exterior to match the existing medical campus architecture and standing seam metal roof. This project will provide primary care, allergy/immunization with pharmacy, radiology, laboratory, and support services. Project also includes alteration of existing dental clinic for other clinical functions.. Work to include all required utilities. Project includes demolition of ten outlying structures; two of which require asbestos removal. This project will be designed within the criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Operations and Maintenance manuals will be provided. Air Conditioning: 800 KW. 11. REQ: 7,115 m2 ADQT: 2,254 m2 SUBSTD: 7,691 m2

PROJECT: Construct an addition to existing composite medical facility with an Outpatient Clinic and alter the Dental Clinic to accommodate health care functions. (CURRENT MISSION)

REQUIREMENT: A new flexible clinic facility of adequate size and functional configuration is required to provide adequate, cost-effective health care to DOD beneficiaries at Edwards AFB. Services within the clinic will include primary care, pharmacy, radiology, laboratory, logistics, and administrative support.

CURRENT SITUATION: The Medical Group is transitioning from hospital to clinic status, and the old facility cannot be readily or economically reconfigured to support this change in service. The existing facility was constructed in 1955 and configured primarily as an inpatient facility. By current DOD space planning criteria, outpatient clinics and ancillary services in the facility are severely space constrained while Form DD 1391 PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Edwards Air Force Base Medical Clinic Addition/Dental Clinic Alt California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 25669 Auth 17,900 Appr 17,900 CURRENT SITUATION (CONTINUED): inpatient space on the upper floors is not efficiently configured for use by other functions. The majority of providers have only a one-to-one office/examination room ratio. Several clinical and support functions have been moved out of the main facility to allow for internal expansion of the remaining clinics. The pediatric clinic and resource management office are located in temporary trailers, while logistics resides in a temporary metal building. All of these facilities lack proper environmental controls and fire protection. The existing trailers will be turned over to the Marine Corps for a new mission requirement. When logistics moves into the replacement medical clinic, the temporary metal building will be transferred to the line of the Air Force. This fragmentation of medical space results in an inefficient medical operation. The majority of the existing hospital's utility systems are original and have far surpassed their useful life expectancy. Shutdown of utility systems for repair is a common occurrence, seriously impeding health care delivery. Asbestos and lead based paint are present throughout the facility. After the clinic is completed, the existing hospital building will be demolished. The oversized dental clinic will be altered to accommodate health care functions such as Education/Training, Readiness, Mental Health and Family Advocacy.

IMPACT IF NOT PROVIDED: Health care will continue to be provided in an obsolete, space-constrained facility. Overcrowding and cramped conditions will impede the Medical Group in providing cost-effective care to its beneficiaries. Inefficient use of medical manpower and money will occur due to continued use of this substandard health care facility.

ADDITIONAL: The English square foot equivalent for this construction project is 53,454 SF.

15. Supplemental Data: A. Estimated Design Data: (1) Status: (a) Design Start Date DEC 1998 (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 50 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 95 (d) Concept Complete Date JUL 1999 (e) Design Complete Date FEB 2001 (f) Type of Design Contract: 1. Design Build (YES/NO) NO 2. Design-Bid-Build (YES/NO) NO 3. Site Adapt (YES/NO) NO

(2) Basis: (a) Standard or Definitive Design - (YES/NO) N (b) Where Design Was Most Recently Used

12. SUPPLEMENTAL DATA (CONTINUED):

A. Estimated Design Data:

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 639 (b) All Other Design Costs 843 (c) Total Design Cost 1,482 (d) Contract 1,103 (e) In-house 379

month & year (4) Design Award Date DEC 1998 (5) Construction Start JUN 2001 (6) Construction Completion JUN 2003

B. Equipment associated with this project which will be provided from other appropriations:

Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

Investment OP DHP 2002 1,050 Investment OP DHP 2003 450 Expense OM DHP 2002 675 Expense OM DHP 2003 675

TOTAL 2,850

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

DD Form 1391C PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. COMPONENT FY 2001 MILITARY CONSTRUCTION PROGRAM 2. DATE DEF (TMA) FEBRUARY 2000 3. INSTALLATION AND LOCATION 4. COMMAND 5. AREA CONSTRUCTION COST INDEX Eglin Air Force Base Air Force Materiel Command Florida 0.82

6. PERSONNEL STRENGTH: PERMANENT STUDENTS SUPPORTED OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. AS OF 30 SEP 1999 1328 5768 3352 0 0 0 55 276 370 11,149 B. END FY 2005 1259 5458 3172 0 0 0 55 276 370 10,590

7. INVENTORY DATA ($000) A. TOTAL AREA 453,581 acres B. INVENTORY TOTAL AS OF 30 SEPTEMBER 1999 71,935 C. AUTHORIZATION NOT YET IN INVENTORY 9,200 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 37,600 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 0 F. PLANNED IN NEXT THREE YEARS 0 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 118,735 8. PROJECTS REQUESTED IN THIS PROGRAM:

CATEGORY PROJECT PROJECT TITLE COST DESIGN STATUS CODE NUMBER ($000) START COMPLETE 510 35565 Hospital Addition/Alteration/LSU 37,600 04/1999 01/2001 TOTAL 37,600

9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2002): NONE

B. PLANNED NEXT THREE PROGRAM YEARS: NONE

10. MISSION OR MAJOR FUNCTION: Air Armament Center (ACC) is responsible for development, acquisition, testing, deployment and sustainment of conventional and nuclear air-delivered weapons. Operates two Air Force installations, providing host support to Eglin and Kirtland AFBs, and supports the largest single base mobility commitment in the Air Force. ACC accomplishes its mission through four components-the Armament Product Group (Eglin), 46th Test Wing (Eglin), 96th Air Base Wing (Eglin), and 377th Wing (Kirtland).

11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: ($000) A. AIR POLLUTION 800 B. WATER POLLUTION 1,200 C. OCCUPATIONAL SAFETY AND HEALTH 0

RPM Backlog: The service estimated cost to remedy the deficiencies in all existing permanent and semi-permanent medical facilities at this installation is $ 3,170,000.

Director DMFO: Mr. Surinder K. Sharma, P.E. Number: 703-681-3970

Form DD 1390 PREVIOUS EDITIONS MAY BE USED INTERNALLY UNTIL EXHAUSTED PAGE NO. 1 Dec 76 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Eglin Air Force Base Hospital Addition/Alteration/LSU Florida 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 510 35565 Auth 37,600 Appr 37,600 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 32,030 Life Safety/Utility Upgrade LS -- -- (814) Clinic Addition SF 71,878 161.44 (11,604) Hospital Alteration SF 157,222 104.76 (16,471) Ambulance Shelter SF 650 132.31 (86) Roof Replacement LS -- -- (2,150) Window Replacement LS -- -- (432) Building Information Systems LS -- -- (473) SUPPORTING FACILITIES 2,687 Electric Service LS -- -- (102) Water, Sewer, Gas LS -- -- (289) Paving, Walks, Curbs And Gutters LS -- -- (831) Storm Drainage LS -- -- (285) Site Imp( 647) Demo( 417) LS -- -- (1,064) Other LS -- -- (116) ESTIMATED CONTRACT COST 34,717 CONTINGENCY PERCENT (0.00%) 0 SUBTOTAL 34,717 SUPERVISION, INSPECTION & OVERHEAD (6.00%) 2,083 CATEGORY E EQUIPMENT 800 TOTAL REQUEST 37,600 TOTAL REQUEST (ROUNDED) 37,600 INSTALLED EQT-OTHER APPROPRIATIONS (1,978) 10. Description of Proposed Construction: Construct an addition to and alter space within the Eglin Composite Medical Facility. The addition will house outpatient clinic functions and be constructed with a reinforced concrete foundation and floor slab, masonry brick walls, and a standing seam metal roof and all required support facilities. The project will also correct numerous life safety and utility deficiencies identified in a 1996 Deficiency Tabulation study to include sprinkling of the building. Asbestos abatement will be required. Exterior site development will include any required relocation of access roads and construction of new parking areas to minimize traffic congestion. This project will be designed within the criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Operations and maintenance manuals will be provided. Air conditioning: 240 Tons. 11. REQ: 370,231 SF ADQT: 141,131 SF SUBSTD: 175,976 SF

PROJECT: Construction of a clinic addition and alterations to former inpatient spaces and life safety upgrades to the existing hospital. (CURRENT MISSION)

REQUIREMENT: A hospital with optimal functional configuration to provide safe, efficient, quality health care services to beneficiaries.

CURRENT SITUATION: The 96th MDG supports one of the largest beneficiary catchment area populations in the Air Force with an aging hospital and 15 additional outlying buildings scattered all over an extremely large base. Mental health, public health, optometry, readiness, and some administrative functions are housed in substandard wooden buildings with lead-based paint, no insulation, and inadequate utilities. Primary care clinics including family practice, family health, internal medicine, and flight medicine need to be collocated with additional space to improve efficiency and centralize patient care services. Ancillary services require Form PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. DD 1 Dec 76 1391 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Eglin Air Force Base Hospital Addition/Alteration/LSU Florida 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 510 35565 Auth 37,600 Appr 37,600 CURRENT SITUATION (Continued) : alterations to meet modern health care standards. The original hospital chassis was designed primarily to serve inpatients and has evolved to serve mainly outpatients. Building alterations have not kept pace with current outpatient clinic design standards. The addition will allow the primary care clinics to be housed in new space specifically designed to improve efficiency and maximize flexibility, while allowing functions in the old wooden outlying buildings to be brought back into the main facility and ancillary services to be upgraded to meet the growing outpatient workload. Inpatient areas will be renovated to consolidate the medical/surgical unit on a single floor, relocate some specialty clinics to vacated ward space, and collocate inpatient and ambulatory surgery functions. Five of the vacated outlying buildings will be returned to the base for their use. One of the vacated buildings will be demolished as part of this project. Finally, the project requires correction of numerous life safety and utility system deficiencies as identified in a 1996 Deficiency Tabulation (DEFTAB) study.

IMPACT IF NOT PROVIDED: Health care will continue to be delivered in an inefficient, dysfunctional, and space constrained facility. This will contribute to decreased staff morale, inefficient use of resources, and patient dissatisfaction. Patient and staff safety and comfort will also be compromised by lack of modern utility systems and lack of adequate life safety provisions. Facility accreditation could be jeopardized if the life safety code deficiencies are not corrected in a timely manner.

16. Supplemental Data: A. Estimated Design Data: (1) Status month & year (a) Design Start Date APR 1999 (c) Percent Complete As Of 01 Jan 2000 (BDGT YR) 50 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 100 (d) Concept Complete Date AUG 1999 (e) Design Complete Date JAN 2001 (f) Type of Design Contract: 1. Design Build (YES/NO) NO 2. Design-Bid-Build (YES/NO) YES 3. Site Adapt (YES/NO) NO

(2) Basis: (a) Standard or Definitive Design - (YES/NO) N (b) Where Design Was Most Recently Used

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 1,336 (b) All Other Design Costs 1,467 (c) Total Design Cost 2,803 (d) Contract 2,332 (e) In-house 471

Supplemental Data (Continued):

A. Estimated Design Data: (Continued)

month & year (4) Design Contract Award APR 1999 (5) Construction Start JAN 2001 (6) Construction Completion JAN 2005

B. Equipment associated with this project which will be provided from other appropriations:

Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

Investment OP DHP 2001 478 Investment OP DHP 2002 1,050 Investment OP DHP 2003 450 Expense OM DHP 2002 675 Expense OM DHP 2003 675

TOTAL 3,328

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

DD Form 1391C PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. COMPONENT FY 2001 MILITARY CONSTRUCTION PROGRAM 2. DATE DEF (TMA) FEBRUARY 2000 3. INSTALLATION AND LOCATION 4. COMMAND 5. AREA CONSTRUCTION Patrick Air Force Base COST INDEX Air Force Space Command Florida 0.92

6. PERSONNEL STRENGTH: PERMANENT STUDENTS SUPPORTED OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. AS OF 30 SEP 1999 343 1121 1052 0 0 0 0 0 0 2,516 B. END FY 2005 325 1075 1087 0 0 0 0 0 0 2,487

7. INVENTORY DATA ($000) A. TOTAL AREA 2,341 Acres B. INVENTORY TOTAL AS OF 30 SEPTEMBER 1999 23,830 C. AUTHORIZATION NOT YET IN INVENTORY 1,750 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 2,700 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 0 F. PLANNED IN NEXT THREE YEARS 0 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 28,280 8. PROJECTS REQUESTED IN THIS PROGRAM:

CATEGORY PROJECT PROJECT TITLE COST DESIGN STATUS CODE NUMBER ($000) START COMPLETE 550 51267 Medical Clinic 2,700 12/1998 11/2000

TOTAL 2,700 9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2002) NONE

B. PLANNED NEXT THREE YEARS: NONE

10. MISSION OR MAJOR FUNCTION:

A space wing; the Air Force Technical Applications Center; DoD Equal Opportunity Management Institute and an Air Force Reserve HH-60/HH-130 rescue squadron. .

11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: ($000) A. AIR POLLUTION 0 B. WATER POLLUTION 0 C. OCCUPATIONAL SAFETY AND HEALTH 0

RPM Backlog: The service estimated cost to remedy the deficiencies in all existing permanent and semi-permanent medical facilities at this installation is $1,219,000.

Director DMFO: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

SUPPORTING FACILITIES 541 Electric Service LS -- -- (170) Water, Sewer, Gas LS -- -- (73) Paving, Walks, Curbs And Gutters LS -- -- (14) Storm Drainage LS -- -- (4) Site Imp( 173) Demo( 48) LS -- -- (221) Information Systems LS -- -- (28) Other LS -- -- (31)

ESTIMATED CONTRACT COST 2,499 CONTINGENCY PERCENT (0.00%) 0 SUBTOTAL 2,499 SUPERVISION, INSPECTION & OVERHEAD (6.00%) 150 CATEGORY E EQUIPMENT 51 TOTAL REQUEST 2,700 TOTAL REQUEST (ROUNDED) 2,700 INSTALLED EQT-OTHER APPROPRIATIONS (150) 10. Description of Proposed Construction: Construct a free-standing medical clinic on the 45th Medical Group campus with reinforced concrete foundation and floor slab, steel frame, masonry exterior, and standing seam metal roof, and associated support facilities. The facility will provide clinic spaces, administrative area and support spaces. Demolish one building. This project will be designed within the criteria prescribed in MIL- HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Operations and maintenance manuals will be provided. Air conditioning: 133 KW. 11. REQ: 934 m2 ADQT: NONE SUBSTD: 609 m2 PROJECT: Construct a modern clinic to house Mental Health, Family Advocacy, Occupational Health, Resource Management, and Medical Readiness. (CURRENT MISSION)

REQUIREMENT: A facility of adequate size and functional configuration is required to replace substandard temporary buildings housing mental health, family advocacy, occupational health, medical readiness and medical resource management.

CURRENT SITUATION: Currently mental health is in a circa 1950 building located across the base from the hospital, and away from all other medical care. The building requires extensive operations and maintenance and repair work due to its age and deteriorating condition. Further, the building provides an extremely sub-standard environment for care. There is insufficient space for critical clinical rooms such as the group therapy room, testing rooms and storage rooms. Staff protection and patient privacy requirements cannot be met, and a recent JCAHO accreditation inspection noted the facility was completely inadequate to meet JCAHO and DOD standards of care. Occupational Health and Medical Resource Management are located in a dilapidated ten-year-old, temporary modular building. The building was originally built to provide temporary space, but there has never been space in the MTF for these functions. Due to its condition, the building must be replaced in the near term. One building will be demolished upon completion of this project. Two other buildings will be returned to the base for other use. Form DD 1391 PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Patrick Air Force Base Medical Clinic Florida 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 51267 Auth 2,700 Appr 2,700 IMPACT IF NOT PROVIDED: The accreditation status of the Medical Group could be in jeopardy if the mental health facility is not replaced soon. The current building housing Occupational Health, Medical Readiness, and Medical Resource Management will become unsafe for continued use within the next few years which will require the staff to relocate. There are no buildings of opportunity or excess space in the main Medical Group building to house these functions.

ADDITIONAL: The English square foot equivalent for this construction project is 10,054 SF. 17. Supplemental Data: A. Estimated Design Data: (1) Status: month & year (a) Design Start Date DEC 1998 (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 65 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 95 (d) Concept Complete Date JUN 1999 (e) Design Complete Date NOV 2000 (f) Type of Design Contract: 1. Design Build (YES/NO) NO 2. Design-Bid-Build (YES/NO) YES 3. Site Adapt (YES/NO) NO

(2) Basis: (a) Standard or Definitive Design - (YES/NO) N (b) Where Design Was Most Recently Used

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 100 (b) All Other Design Costs 185 (c) Total Design Cost 285 (d) Contract 199 (e) In-house 86

month & year (4) Design Contract Award DEC 1998 (5) Construction Start APR 2001 (6) Construction Completion APR 2002

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. UNTIL EXHAUSTED DD 1 Dec 76 1391C 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Patrick Air Force Base Florida Medical Clinic 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 51267 Auth 2,700 Appr 2,700

Supplemental Data (Continued):

B. Equipment associated with this project which will be provided from other appropriations: Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000) Investment OP DHP 2001 150 Expense OM DHP 2001 90 Expense OM DHP 2002 90

TOTAL 330

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

DD Form 1391C PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. COMPONENT FY 2001 MILITARY CONSTRUCTION PROGRAM 2. DATE DEF (TMA) FEBRUARY 2000 3. INSTALLATION AND LOCATION 4. COMMAND 5. AREA CONSTRUCTION Tyndall Air Force Base COST INDEX Air Education and Training Florida 0.85

6. PERSONNEL STRENGTH: PERMANENT STUDENTS SUPPORTED OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. AS OF 30 SEP 1999 645 2880 626 37 0 0 84 20 0 4,292 B. END FY 2005 646 2905 618 37 0 0 84 20 0 4,310

7. INVENTORY DATA ($000) A. TOTAL AREA 28,824 Acres B. INVENTORY TOTAL AS OF 33,191 C. AUTHORIZATION NOT YET IN INVENTORY 1,600 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 7,700 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 0 F. PLANNED IN NEXT THREE YEARS 0 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 42,491 8. PROJECTS REQUESTED IN THIS PROGRAM:

CATEGORY PROJECT PROJECT TITLE COST DESIGN STATUS CODE NUMBER ($000) START COMPLETE 550 50904 Medical Clinic Addition/Alteration 7,700 02/1999 12/2000

TOTAL 7,700 9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2002) NONE

B. PLANNED NEXT THREE YEARS: NONE

10. MISSION OR MAJOR FUNCTION:

A fighter wing with three F-15 squadrons responsible for training all F-15 aircrews; Air Combat Command's Headquarters First Air Force, a weapons evaluation group, and Southeast Air Defense Sector; the Air Force Civil Engineering Support Agency; and an Air National Guard air defense detachment (F-16 aircraft).

11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: ($000) A. AIR POLLUTION 20 B. WATER POLLUTION 0 C. OCCUPATIONAL SAFETY AND HEALTH 0

RPM Backlog: The service estimated cost to remedy the deficiencies in all existing permanent and semi-permanent medical facilities at this installation is $ 1,597,000.

Director DMFO: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY UNTIL EXHAUSTED PAGE NO. DD 1 Dec 76 1390 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Tyndall Air Force Base Medical Clinic Addition/Alteration Florida 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 50904 Auth 7,700 Appr 7,700 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 4,999 Addition m2 2,332 1,662.5 (3,877) Alteration/Building Connector m2 2,449 403 (987) Ambulance Shelter m2 84 690 (58) Clinic Entrance Canopy/Drop-Off m2 20 850 (17) Building Information Systems LS -- -- (60)

SUPPORTING FACILITIES 2,106 Electric Service LS -- -- (154) Water, Sewer, Gas LS -- -- (110) Paving, Walks, Curbs And Gutters LS -- -- (868) Storm Drainage LS -- -- (83) Site Imp( 516) Demo( 100) LS -- -- (616) Information Systems LS -- -- (202) Other LS -- -- (73)

ESTIMATED CONTRACT COST 7,105 CONTINGENCY PERCENT (0.00%) 0 SUBTOTAL 7,105 SUPERVISION, INSPECTION & OVERHEAD (6.00%) 426 CATEGORY E EQUIPMENT 150 TOTAL REQUEST 7,681 TOTAL REQUEST (ROUNDED) 7,700 INSTALLED EQT-OTHER APPROPRIATIONS (600)

10. Description of Proposed Construction: Construct a modern outpatient clinic addition and alter the third floor and several rooms on the first and second floors within the existing medical facility. The addition will provide a reinforced concrete foundation and floor slab and masonry brick walls and all required support facilities. Alteration work consists of renovating former inpatient wards on the third floor for administrative functions, renovating several rooms on the 2nd floor for cardiopulmonary services, and convert the cafeteria on the 1st floor into training and systems application space. This project will be designed within the criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Operations and Maintenance manuals will be provided. Demolish one building. Air Conditioning: 514 KW.

11. REQ: 12,118 m2 ADQT: 7,317 m2 SUBSTD: 4,797 m2

PROJECT: Add space onto and alter the existing medical facility. (CURRENT MISSION)

REQUIREMENT: The 325th Medical Group requires a clinic addition to their main facility to centralize all medical services in one location. Addition space will include: patient clinical exam and treatment rooms, staff support areas, records room, library, conference rooms, and administrative offices. A shelter for 2 ambulances used by Aerospace Medicine for in-flight emergencies is also required. Light to medium renovations will take place on the first, second and third floors. One building will be demolished as part of this project. Five vacated outlying medical campus buildings (Circa 1940) will be returned to the base for other use. This project directly supports rightsizing of the 325th Medical Group's existing hospital to a consolidated ambulatory care facility. PREVIOUS EDITIONS MAY BE USED INTERNALLY Form PAGE NO. DD 1 Dec 76 1391 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Tyndall Air Force Base Medical Clinic Addition/Alteration Florida 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 50904 Auth 7,700 Appr 7,700 CURRENT SITUATION: Family Practice, Aerospace Medicine, Pediatrics, Optometry, Physical Therapy, Medical Resource Management and the Information Systems offices are currently located in five outlying campus buildings. This arrangement makes it difficult and cumbersome for patients, clinical staff, records managers, and logistics personnel to commute between these clinics and the Medical Treatment Facility (MTF), especially during inclement weather, and results in extensive loss of productive manhours. Existing hospital inpatient space will be re-used as part of an overall consolidation effort that will allow Pediatrics, Medical Resource Management, and Information Systems to relocate back into the main building. The consolidation, along with the clinic addition, will profoundly improve the environment of care for patients allowing "one-stop shopping" within the MTF. The project will centralize most administrative functions, all outpatient clinic functions, and allow the 325th MDG to remove their circa 1940's outlying buildings from their real property inventory.

IMPACT IF NOT PROVIDED: The environment of care for patients will continue to be inefficient and cumbersome due to required travel between five outlying outpatient clinic buildings and the MTF. Patients will be required to commute for records, radiology, prescriptions, and other ancillary care. Additionally, the MTF staff will be forced to practice medicine in buildings which are antiquated (50+ years old), do not meet modern building codes, are expensive to maintain, and do not support the required change in practice from an inpatient hospital to an ambulatory care facility.

ADDITIONAL: The English square foot equivalent for this construction project 131,342 SF. 18. Supplemental Data:

A. Estimated Design Data: (1) Status: month & year (a) Design Start Date FEB 1999 (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 50 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 95 (d) Concept Complete Date AUG 1999 (e) Design Complete Date DEC 2000 (f) Type of Design Contract: 1. Design Build (YES/NO) NO 2. Design-Bid-Build (YES/NO) YES 3. Site Adapt (YES/NO) NO

(2) Basis: (a) Standard or Definitive Design - (YES/NO) N (b) Where Design Was Most Recently Used

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 420 (b) All Other Design Costs 871 (c) Total Design Cost 1,291 (d) Contract 911 (e) In-house 380

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY DD 1391C PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Tyndall Air Force Base Medical Clinic Addition/Alteration Florida 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 50904 Auth 8,200 Appr 8,200

SUPPLEMENTAL DATA (CONTINUED):

A. Estimated Design Data: (CONTINUED) month & year (4)Design Contract Award FEB 1999 (5) Construction Start APR 2001 (6) Construction Completion JUN 2003

B. Equipment associated with this project which will be provided from other appropriations:

Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

Investment OP DHP 2001 420 Investment OP DHP 2002 180 Expense OM DHP 2001 360 Expense OM DHP 2002 360

TOTAL 1,320

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

DD Form 1391C PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. COMPONENT FY 2001 MILITARY CONSTRUCTION PROGRAM 2. DATE DEF (TMA) FEBRUARY 2000 3. INSTALLATION AND LOCATION 4. COMMAND 5. AREA CONSTRUCTION Fort Drum COST INDEX US Army Forces Command New York 1.10

6. PERSONNEL STRENGTH: PERMANENT STUDENTS SUPPORTED OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. As of 30 Sep 1999 1333 10077 914 0 62 0 52 256 1310 14,004 B. End FY 2005 1296 10018 909 0 69 0 52 251 882 13,477

7. INVENTORY DATA ($000) A. TOTAL AREA. 107,265 Acres B. INVENTORY TOTAL AS OF 30 SEP 1999 0 C. AUTHORIZATION NOT YET IN INVENTORY 0 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 1,400 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 0 F. PLANNED IN NEXT THREE YEARS 0 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 1,400 8. PROJECTS REQUESTED IN THIS PROGRAM:

CATEGORY PROJECT PROJECT TITLE COST DESIGN STATUS CODE NUMBER ($000) START COMPLETE 530 29318 Veterinary Treatment Facility 1,400 03/1999 10/1999

9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2002): NONE

B. PLANNED NEXT THREE PROGRAM YEARS: NONE

10. MISSION OR MAJOR FUNCTION:

Training and support of a Light Infantry Division. Provide support to Reserve Component Training.

11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: ($000) A. AIR POLLUTION 0 B. WATER POLLUTION 0 C. OCCUPATIONAL SAFETY AND HEALTH 0

RPM Backlog: The service estimated cost to remedy the deficiencies in all existing permanent and semi-permanent medical facilities at this installation is $6,300,000.

Director DMFO: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. UNTIL EXHAUSTED DD 1 Dec 76 1390 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Fort Drum Veterinary Treatment Facility New York 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) Auth 1,400 87717D 530 29318 Appr 1,400 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 1,088 Veterinary Facility m2 618 1,688 (1,043) Building Information Systems LS -- -- (45) SUPPORTING FACILITIES 245 Electric Service LS -- -- (35) Water, Sewer, & Gas LS -- -- (50) Paving, Walks, Curbs & Gutters LS -- -- (70) Storm Drainage LS -- -- (15) Site Imp ( 16) Demo ( 14) LS -- -- (30) Information Systems LS -- -- (20) Other LS -- -- (25) ESTIMATED CONTRACT COST 1,333 CONTINGENCY PERCENT (0.00 %) 0 SUBTOTAL 1,333 SUPERVISION, INSPECTION & OVERHEAD (6.00 %) 80 CATEGORY E EQUIPMENT (0) TOTAL REQUEST 1,413 TOTAL REQUEST (ROUNDED) 1,400 INSTALLED EQT-OTHER APPROPRIATIONS (0) 10. Description of Proposed Construction: Construct a permanent Veterinary Treatment Facility with reinforced concrete foundation and slab with structural steel frame masonry exterior and associated support facilities. The facility will provide full medical services for military working dogs, temporary housing for installation strays and adopted animals and administrative work spaces for staff. This project will be designed within the criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Operations and maintenance manuals will be provided. Air Conditioning: 88 KW. 11. REQ: 618 m2 ADQT: NONE SUBSTD: 477 m2

PROJECT: Construct a permanent Veterinary Treatment Facility at Fort Drum, New York. (CURRENT MISSION)

REQUIREMENT: Provide a state-of-the-art Veterinary Treatment Facility for the tri-service, DOD mission at Fort Drum Branch, Allegany Veterinary Service Support District, North Atlantic Veterinary Service Support Area. The facility will provide care and treatment for the prevention of zoonotic diseases to Military working dogs and approximately 5000 active and retired military privately-owned pets, house all the post strays and adoption animals (about 600 per year) and provide administration offices for the food inspection mission which covers sixty facilities across New York State.

CURRENT SITUATION: The current Veterinary Service building is a remodeled section of an old World War II post hospital and its connected 1991 concrete block animal holding facility. The last major renovation was done before the major Fort Drum Expansion in 1984. Since Fort Drum has expanded to ten times its original size, and Griffiss & Plattsburg Air Force Bases have been closed, all additional duties and responsibilities have been added to the Fort Drum Veterinary Services, without a corresponding change in facilities. The existing connected buildings of the Veterinary Services are the only remaining structures in this section of the Post, 2400 area, following the FY97 Demolition Program. The existing Veterinary Clinic is located on the opposite side of the Post from all other services. The heating system is no longer dependable and is hard to properly maintain. Furnace outages have threatened building shutdown numerous times during the last heating season. An urgent concern is the Reengineering (demolition) Project on Fort Drum.

DD Form 1391 PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date FY 2001 MILITARY CONSTRUCTION PROJECT DATA DEF (TMA) FEB 2000 3. Installation and Location/UIC: 4. Project Title Fort Drum Veterinary Treatment Facility New York 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 530 29318 Auth 1,400 Appr 1,400 IMPACT IF NOT PROVIDED: The great increase in soldier population, and therefore greater food inspection mission and animal services will continue placing great demand on the old, small World War II facility. There are no permanent buildings on Post available for this type of facility. This building has been identified for demolition by the base. If a new facility is not provided, this will have a negative impact on the food inspection and animal services mission.

ADDITIONAL: The English square foot equivalent for this construction project is 6,652 SF.

19. Supplemental Data: A. Estimated Design Data: (1) Status: month & year (a) Design Start Date MAR 1999 (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 100 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 100 (d) Concept Complete Date MAY 1999 (e) Design Complete Date OCT 1999 (f) Type of Design Contract: 4. Design Build (YES/NO) NO 5. Design-Bid-Build (YES/NO) YES 6. Site Adapt (YES/NO) NO

(2) Basis: (a) Standard or Definitive Design - (YES/NO) N (b) Where Design Was Most Recently Used

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 77 (b) All Other Design Costs 183 (c) Total Design Cost 260 (d) Contract 185 (e) In-house 75

month & year (4)Design Contract Award MAR 1999 (5) Construction Start JAN 2001 (6) Construction Completion DEC 2002

PREVIOUS EDITIONS MAY BE USED INTERNALLY PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. Form UNTIL EXHAUSTED DD 1 Dec 76 1391C UNTIL EXHAUSTED 1. Component 2. Date FY 2001 MILITARY CONSTRUCTION PROJECT DATA DEF (TMA) FEB 2000 3. Installation and Location/UIC: 4. Project Title Fort Drum New York Veterinary Treatment Facility 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 530 29318 Auth 1,400 Appr 1,400

12. Supplemental Data (Continued):

B. Equipment associated with this project which will be provided from other appropriations:

Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

NONE

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. DD 1 Dec 76 1391C UNTIL EXHAUSTED 1. COMPONENT FY 2001 MILITARY CONSTRUCTION PROGRAM 2. DATE DEF (TMA) FEBRUARY 2000 3. INSTALLATION AND LOCATION 4. COMMAND 5. AREA CONSTRUCTION Germany Various COST INDEX U. S. Army Europe 1.27

6. PERSONNEL STRENGTH: PERMANENT STUDENTS SUPPORTED OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. As of 30 Sep 1999 0 0 0 0 0 0 0 0 0 0 B. End FY 2005 0 0 0 0 0 0 0 0 0 0

7. INVENTORY DATA ($000) A. TOTAL AREA. 0 ha B. INVENTORY TOTAL AS OF 30 SEP 1999 0 C. AUTHORIZATION NOT YET IN INVENTORY 0 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 8,587 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 35,000 F. PLANNED IN NEXT THREE YEARS 69,500 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 113,087 8. PROJECTS REQUESTED IN THIS PROGRAM:

CATEGORY PROJECT PROJECT TITLE COST DESIGN STATUS CODE NUMBER ($000) START COMPLETE 550 50179 Health/Dental Clinic Life Safety Upgrade (Kitzingen) 1,400 10/1998 09/2000 550 50145 Health/Dental Clinic Addition/Alteration (Wiesbaden) 7,187 06/1999 06/2000 TOTAL 8,587 9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2002): 510 Patient Care Ancillary Addition (Heidelberg) 35,000 TOTAL 35,000 B. PLANNED NEXT THREE PROGRAM YEARS: 550 Composite Medical Facility Replacement (Spangdahlem) 24,000 510 Patient Care Ancillary Addition (Landstuhl) 23,000 550 Health Clinic Addition/Alteration (Mannheim) 3,500 550 Clinic Replacement (Ramstein) 19,000 TOTAL 69,500 10. MISSION OR MAJOR FUNCTION:

Support of U.S. Army, Europe and Seventh Army.

11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: ($000) A. AIR POLLUTION 0 B. WATER POLLUTION 0 C. OCCUPATIONAL SAFETY AND HEALTH 0

RPM Backlog: There are no service estimated costs associated with deficiencies in medical facilities at this installation.

Director DMFO: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970 Form DD 1390 PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Kitzingen, Germany Health/Dental Clinic Life Safety Upgrade 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) Auth 1,400 87717D 550 50179 Appr 1,400 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 1,122 Life Safety Upgrade LS -- -- (525) Stairwell/Elevator Addition SF 2,200 271.36 (597) SUPPORTING FACILITIES 193 Electric Service LS -- -- (25) Water, Sewer, Gas LS -- -- (76) Paving, Walks, curbs and Gutters LS -- -- (47) Storm Drainage LS -- -- (6) Site Imp ( 14) Demo ( ) LS -- -- (14) Other LS -- -- (25) ESTIMATED CONTRACT COST 1,315 CONTINGENCY PERCENT ( 0.00%) 0 SUBTOTAL 1,315 SUPERVISION, INSPECTION & OVERHEAD ( 6.50%) 85 CATEGORY E EQUIPMENT 0 TOTAL REQUEST 1,400 TOTAL REQUEST (ROUNDED) 1,400 INSTALLED EQT-OTHER APPROPRIATIONS (0) 10. Description of Proposed Construction: Correct life safety and fire safety code deficiencies to meet National Fire Protection Association (NFPA) Life Safety Code standards and Joint Commission on Accreditation of Healthcare Organization (JCAHO) requirements at the Kitzingen Health and Dental Clinic. The project will be designed within the criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Air Conditioning: None. 11. REQ: 29,116 SF ADQT: NONE SUBSTD: 26,916 SF

PROJECT: Perform a life safety upgrade to include handicapped accessibility at the Kitzengen Health/Dental Clinic. (CURRENT MISSION)

REQUIREMENT: This project will correct Life Safety and ADA deficiencies to meet NFPA 101 and JCAHO standards. The clinic is required for the delivery of quality healthcare in the Kitzingen Military Community.

CURRENT SITUATION: The Kitzingen Health Clinic supports the Kitzingen military community, consisting of units based at both Harvey and Larson Barracks. This is the only health/dental clinic servicing this community. The building was constructed in the 1930's and has been providing healthcare since the late 1940’s. The main entrance is not handicapped accessible per ADA regulations. It exits directly to the street with little or no landing area. There are also no ADA code compliant ramps for entering and exiting the clinic. The doors at the western and southern entrances of the facility exit onto unpaved driveways with landings that are substandard. The only internal staircase fails to meet NFPA and German life safety codes because it does not exit directly to the exterior. Individual treatment areas lack privacy for patients to receive confidential consultations from physicians. Both exterior steel stairs at each end of the building are exposed to the elements and should be covered to avoid ice and snow. They have open risers, with treads and landings constructed of steel grating in contradiction to NFPA 101 and ADA.

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY DD 1391 PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Kitzingen, Germany Health/Dental Clinic Life Safety Upgrade 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 50179 Auth 1,400 Appr 1,400 IMPACT IF NOT PROVIDED: The substandard conditions will continue to affect the quality and efficiency of the healthcare given to soldiers and their families. Handicapped or injured patients will continue to experience extreme difficulties moving around and throughout the clinic. The health and dental clinics will continue to operate in an unsafe facility. In the event of a fire, life safety of the staff and patient will be endangered by lack of adequate means of egress.

HOST NATION: Host nation support has been sought and denied via the Payment in Kind (PIK) program that is indefinitely suspended. Conventional Forces Europe (CFE) planners have certified that there will be continued occupancy by US troops and are no known troop reductions or additions planned for this installation.

NATO INFRASTRUCTURE: This project is not within an established NATO Infrastructure Category for common funding nor is it expected to become eligible.

20. Supplemental Data:

A. Estimated Design Data: (1) Status: month & year (a) Design Start Date OCT 1998 (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 35 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 100 (d) Concept Complete Date SEP 1999 (e) Design Complete Date SEP 2000 (f) Type of Design Contract: 7. Design Build (YES/NO) NO 8. Design-Bid-Build (YES/NO) YES 9. Site Adapt (YES/NO) NO

(2) Basis: (a) Standard or Definitive Design - (YES/NO) N (b) Where Design Was Most Recently Used

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): (a) Production of Plans and Specifications 80 (b) All Other Design Costs 104 (c) Total Design Cost 184 (d) Contract 144 (e) In-house 40

12. Supplement Data: (CONTINUED)

A. Estimated Design Data: (CONTINUED) month & year (4) Design Contract Award OCT 1998 (5) Construction Start JAN 2001 (6) Construction Completion DEC 2001

B. Equipment associated with this project which will be provided from other appropriations: Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

NONE

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

PREVIOUS EDITIONS MAY BE USED INTERNALLY Form PAGE NO. DD 1 Dec 76 1391C UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Wiesbaden Air Base Health/Dental Clinic Addition/Alteration Germany 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 50145 Auth 7,187 Appr 7,187 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 5,660 Health Clinic Alteration m2 1,107 1,698.28 (1.880) Health Clinic Addition m2 1,312 2,264.48 (2,971) Dental Clinic Alteration m2 1,047 679.08 (711) Building Information Systems LS -- -- (98) SUPPORTING FACILITIES 948 Electric Service LS -- -- (37) Water, Sewer, Gas LS -- -- (108) Paving, Walks, Curbs And Gutters LS -- -- (65) Storm Drainage LS -- -- (13) Site Imp( 349) Demo( ) LS -- -- (309) Information Systems LS -- -- (349) Other LS -- -- (67) ESTIMATED CONTRACT COST 6,608 CONTINGENCY PERCENT (0.00%) 0 SUBTOTAL 6,608 SUPERVISION, INSPECTION & OVERHEAD (6.50%) 429 CATEGORY E EQUIPMENT 150 TOTAL REQUEST 7,187 TOTAL REQUEST (ROUNDED) 7,187 INSTALLED EQT-OTHER APPROPRIATIONS (0) 10. Description of Proposed Construction: Construct clinic addition with building envelope compatible with existing. The addition will house physical therapy, social services, optometry, and community health nursing. Alter existing clinic to provide an efficient and functional layout for primary care, radiology, pathology, pharmacy, dental and support spaces. Construct a stairwell/elevator addition to the clinic that will serve all three floors. Upgrade HVAC to provide indoor environment control. This project will be designed in accordance with MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Operation and Maintenance Manuals will be provided. Air Conditioning: 415 KW.

11. REQ: 12,810 m2 ADQT: 9,344 m2 SUBSTD: 2154 m2

PROJECT : Construct a stairwell/elevator addition, a clinical addition, and renovate the current Wiesbaden health/dental clinic. (CURRENT MISSION)

REQUIREMENT: The new construction will correct existing Life Safety and ADAAG Deficiencies and consolidate outlying clinics into this clinic.

DD Form 1391 PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED 1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Wiesbaden Air base Health/Dental Clinic Addition/Alteration Germany 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717D 550 50145 Auth 7,187 Appr 7,187 CURRENT SITUATION: The Wiesbaden Health/Dental Clinic supports the military community consisting of V Corps Headquarters, a Base Support Battalion, two Brigades, two independent battalions, one Mobile Army Surgical Hospital (MASH), retirees, DoD civilians, and various support agencies in and around the Wiesbaden and Mainz areas. This is the only health/dental clinic servicing this community. The Social Work Services, Physical Therapy, Optometry, and Community Health Nursing are currently in outlying areas. The building was constructed in the 1930s. The main entrance is not handicapped accessible. The only internal staircase fails to meet U.S. and German life safety codes. Individual treatment areas lack privacy for patients to receive confidential consultations from physicians. The dental clinic fails to meet environmental controls for delivering quality dental care.

IMPACT IF NOT PROVIDED: The substandard conditions will continue to effect the quality of the healthcare given to soldiers and their families. Handicapped or injured patients will continue to experience difficulties moving around the clinic. Patients and staff will continue to be at risk due to noncompliance with life safety codes.

ADDITIONAL: The English square foot equivalent for this construction project is 37,308 SF.

21. Supplemental Data: A. Estimated Design Data: (1) Status: month & year (a) Design Start Date JUN 1999 (b) Percent Complete As Of 01 Jan 2000 (BDGT YR) 50 (c) Percent Complete As Of 01 Oct 2000 (PROG YR) 100 (d) Concept Complete Date SEP 1999 (e) Design Complete Date JUN 2000 (f) Type of Design Contract: 1. Design Build (YES/NO) NO 2. Design-Bid-Build (YES/NO) YES 3. Site Adapt (YES/NO) NO

(2) Basis: (a) Standard or Definitive Design - (YES/NO) N (b) Where Design Was Most Recently Used

(3) Total Design Cost (c) = (a)+(b) OR (d)+(e): ($000) (a) Production of Plans and Specifications 390 (b) All Other Design Costs 538 (c) Total Design Cost 928 (d) Contract 720 (e) In-house 208

SUPPLEMENTAL DATA (CONTINUED):

A. Estimated Design Data: (CONTINUED) month & year (4) Design Contract Award JUN 1999 (5) Construction Start APR 2001 (6) Construction Completion DEC 2002

B. Equipment associated with this project which will be provided from other appropriations:

Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

Medical Equipment OMA 2002 $ 783

TOTAL $ 783

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

6. PERSONNEL STRENGTH: PERMANENT STUDENTS SUPPORTED OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. AS OF 30 SEP 1999 578 2165 1867 0 0 0 115 195 0 4,920 B END FY 20005. 626 2401 1870 0 0 0 115 195 0 5,207

7. INVENTORY DATA ($000) A. TOTAL AREA 70 ha B. INVENTORY TOTAL AS OF 30 SEPTEMBER 1999 114,080 C. AUTHORIZATION NOT YET IN INVENTORY 0 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 43,850 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 0 F. PLANNED IN NEXT THREE YEARS 0 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 157,930 8. PROJECTS REQUESTED IN THIS PROGRAM:

CATEGORY PROJECT PROJECT TITLE COST DESIGN STATUS CODE NUMBER ($000) START COMPLETE 510 23320 Medical/Dental Facility Replacement 43,850 N/A N/A

TOTAL 43,850 9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2002) NONE

B. PLANNED NEXT THREE YEARS: NONE

10. MISSION OR MAJOR FUNCTION: Support all Naval commands and organizations ashore in the Naples area, using mainly leased facilities Agnano, Pinetemare and Bagnoli; and the military controlled compound at Capodichino Airport. Commands include Sixth Fleet task force commands and staffs for: 1) combat support force (CTF-63), 2) ballistic missile submarine force (CTF-64), 3) area anti-submarine warfare force (CTF- 66), 4) maritime surveillance and reconnaissance force (CTF-67), and 5) attack submarine force (CTF-69). Also supported is the Commander, Fleet Air Mediterranean staff, responsible for management of all Navy shore bases in the Mediterranean. U.S. personnel assigned to the Allied Forces, Southern Europe (AFSOUTH) NATO command in Naples are also a responsibility. Communications Station, Naval Hospital, fleet landing on Naples waterfront, and Sixth Fleet flagship at Gaeta are also supported. . 11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: ($000) A. AIR POLLUTION 0 B. WATER POLLUTION 0 C. OCCUPATIONAL SAFETY AND HEALTH 0

RPM Backlog: The service estimated cost to remedy the deficiencies in all existing permanent and semi-permanent medical facilities at this installation is $ 2,449,000.

Director DMFO: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form PREVIOUS EDITIONS MAY BE USED INTERNALLY UNTIL EXHAUSTED PAGE NO. DD 1 Dec 76 1390 `1. Component 2. Date DEF (TMA) FY 2001 MILITARY CONSTRUCTION PROJECT DATA FEB 2000 3. Installation and Location/UIC: 4. Project Title Naples Naval Support Activity Medical/Dental Facility Replacement Italy 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) Auth 43,850 87717D 510 23320 Appr 43,850 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 43,850 Purchase Medical/Dental Facility LS -- -- (43,850) SUPPORTING FACILITIES

ESTIMATED CONTRACT COST 43,850 CONTINGENCY PERCENT (.00 %) (0) SUBTOTAL 43,850 SUPERVISION, INSPECTION & OVERHEAD (.00 %) (0) CATEGORY E EQUIPMENT (0) TOTAL REQUEST 43,850 TOTAL REQUEST (ROUNDED) 43,850 INSTALLED EQT-OTHER APPROPRIATIONS (6,000) 10. Description of Proposed Construction: The United States Government will purchase a completed Medical/Dental facility (Hospital). The Medical/Dental facility is a three-story building comprised of approximately 170,450 SF including a single-story Central Energy building of 9,500 SF. The new facility will include a 26-bed inpatient facility, four (4) labor/delivery/recovery/postpartum suites, medical and dental outpatient clinics, surgical and delivery suites, Laboratory, Radiology, Pharmacy, Physical Therapy, Emergency, Magnetic Resonance Imaging room, Command and Administration, Central Material Services (CMS), Logistical and Support Services, and Food Service and dining functions. The new facility also includes an ambulance shelter, water storage tanks for potable water and fire protection, 343 parking spaces and other supporting facilities. The project is sited on leased land of the US Naval Support Site, Gricignano, Italy. This project is designed within the criteria prescribed in MIL-HDBK-1191 and the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines. Air conditioning: 700 Tons. 11. REQ: 170,450 SF ADQT: NONE SUBSTD: 175,812 SF

PROJECT: This project will provide for the United States Government to purchase a completed medical/dental facility. (CURRENT MISSION)

REQUIREMENT: This project is required to provide healthcare to the military beneficiaries in support of the Naples Improvement Initiative (relocation from Agnano to Gricignano). This replacement project is in the third of four increments of support site facilities acquisition and will be designed to meet U.S. specifications.

CURRENT SITUATION: On August 6, 1998, a lease construction with option to buy contract was awarded to provide an adequate new Medical/Dental Facility at Gricignano, Italy to replace the existing inadequate leased facility located in the Agnano area. The current, inadequate Naval Hospital is located more than 30 kilometers away from the two primary Naval Support Sites established by the Naples Improvement Initiative at Capodichino and Gricignano, Italy. The existing facility is incompatible with the day-to-day healthcare operations demanded within this high tempo military overseas catchment area. Due to known structural deformities and design deficiencies within the current Hospital facility, it is vulnerable to structural failure and collapse in the event of a major seismic episode such as those possible within Seismic Zone 3 locations. The lack of cost-effective engineering solutions to adequately address the risk of catastrophic building failure creates an unacceptable level of risk for patients and hospital staff. The current facility lacks medical gas systems and requires complete replacement of the HVAC systems. In addition, the current electrical distribution system is antiquated and cannot handle the power requirements and electrical loads in support of a modern healthcare environment. Taken together, the structural deficiencies directly jeopardize the welfare of the military and family members serving in the Naples Theater of Military Operations. The distance and the lack of good transportation from the primary operating locations negatively impacts access to care.

ADDITIONAL: The purchase of the Medical/Dental Facility will provide ownership for a period that does not exceed the final expiration date of the land lease. The site of the Medical/Dental Facility is privately held land leased to the Navy for a period of 30 years, and expiring in 2028. Ownership of the Medical/Dental Facility is automatically vested in the Lessor of the site, Mirabella, S.P.A., upon final expiration of land lease N62470-95-RP-00005 approximately 27 years after completion of the facility construction.

22. Supplemental Data:

B. Equipment associated with this project which will be provided from other appropriations: Fiscal Year Equipment Procuring Appropriated Cost Nomenclature Appropriation Or Requested ($000)

INVESTMENT OP 2000 3,000 INVESTMENT OP 2001 3,000 EXPENSE OMN 2000 8,000 EXPENSE OMN 2001 4,000 EXPENSE OMN 2002 400

TOTAL 18,400

Director, Defense Medical Facilities Office: Mr. Surinder K. Sharma, P.E. Phone Number: 703-681-3970

Form DD 1391C PREVIOUS EDITIONS MAY BE USED INTERNALLY PAGE NO. 1 Dec 76 UNTIL EXHAUSTED